Provider Demographics
NPI:1730993205
Name:GONZALEZ, MARIA SOCORRO (NURSE PRACTICIONER)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:SOCORRO
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:NURSE PRACTICIONER
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:S
Other - Last Name:GONZALEZ COLLAZO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:URB ESTANCIAS DE BORINQUEN # 66
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-508-5149
Mailing Address - Fax:
Practice Address - Street 1:URB ESTANCIAS DE BORINQUEN # 66
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-508-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1805363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology